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Individual

SIMMONE SONG RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCOTA/L

Contact information

Practice address
984 NOSTRAND AVE, BROOKLYN, NY 11225-2901
(718) 701-7300
Mailing address
1537 74TH ST APT 2F, BROOKLYN, NY 11228-2240
(505) 203-5943

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011481
NY

Other

Enumeration date
03/28/2024
Last updated
03/28/2024
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